STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES INV369 - Massage Establishment File # 29281 Insp # 202034 NAME ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 11/14/2018 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA STREET ADDRESS 103 South US HWY 1 Ste. C2 TELEPHONE # 561-386-8212 CITY JUPITER COUNTY PALM BEACH EXT STATE/ZIP FL/33477 Additional Information Owner Contact Inspection Employee Tracking License Number Date Entered Person Employed Dongmei Wang 78327 Person Employed Lansu Cong 81172 Person Employed Cuixiang Zhan Person Employed HUO CAO 4/26/2016 License Number Date Entered 78389 4/26/2016 License Number Date Entered Lei Wang 4/26/2016 License Number Date Entered Person Employed 4/26/2016 License Number Date Entered 74437 MA80755 11/14/2018 License Relations Establishment - Owner ZHANG, HUA License # INV 369 - Massage Establishments Massage Establishment Requirements Current establishment license. [480.043(1), F.S.] Yes Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Yes Employed person(s) duly licensed. [480.047(1)(c), F.S.] Yes Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), Yes F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Yes Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Yes Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Yes Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Yes Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Yes Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Yes Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Yes Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Some tables showing wear and tear, advised Lui. No Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Yes Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] Yes Page 1 11/14/2018 INV369 - Massage Establishment Insp # 202034 ORCHIDS OF ASIA DAY SPA INC File # 29281 Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] Yes Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Yes Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Yes Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Yes Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Yes Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] Yes Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] N/A If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Yes Establishment operating hours are within compliance. [480.0475(1) F.S.] Yes Under local ordinance (zoning), is this establishment being used as a principle domicile? [480.0475(2) F.S.] N/A Colonic Irrigation Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.] Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.] Apprentice Program Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.] Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] Establishment Equipment Required in Addition to 64B7-26 For Apprentice Program Tables for massages. [64B7-29.001(5)(a), F.A.C.] Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C] Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] Remarks: I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. Inspector Signature: Representative: Lei Wang Date:11/14/2018 Date:11/14/2018 Page 2 11/14/2018 STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES INV369 - Massage Establishment File # 29281 Insp # 202034 NAME ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 01/31/2019 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA STREET ADDRESS 103 South US HWY 1 Ste. C2 TELEPHONE # 561-386-8212 CITY JUPITER COUNTY PALM BEACH EXT STATE/ZIP FL/33477 Additional Information Owner Contact Inspection Employee Tracking License Number Date Entered Person Employed Dongmei Wang 78327 Person Employed Lansu Cong 81172 Person Employed Cuixiang Zhan Person Employed HUO CAO 4/26/2016 License Number Date Entered 78389 4/26/2016 License Number Date Entered Lei Wang 4/26/2016 License Number Date Entered Person Employed 4/26/2016 License Number Date Entered 74437 MA80755 11/14/2018 License Relations Establishment - Owner ZHANG, HUA License # INV 369 - Massage Establishments Massage Establishment Requirements Current establishment license. [480.043(1), F.S.] Yes Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Yes Employed person(s) duly licensed. [480.047(1)(c), F.S.] Yes Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), Yes F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Yes Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Yes Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Yes Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Yes Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Yes Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Yes Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Yes Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Some tables showing wear and tear, advised Lui. No Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Yes Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] Yes Page 1 1/31/2019 INV369 - Massage Establishment Insp # 202034 ORCHIDS OF ASIA DAY SPA INC File # 29281 Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] Yes Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Yes Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Yes Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Yes Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Yes Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] Yes Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] N/A If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Yes Establishment operating hours are within compliance. [480.0475(1) F.S.] Yes Under local ordinance (zoning), is this establishment being used as a principle domicile? [480.0475(2) F.S.] Yes=D Colonic Irrigation Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.] Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.] Apprentice Program Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.] Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] Establishment Equipment Required in Addition to 64B7-26 For Apprentice Program Tables for massages. [64B7-29.001(5)(a), F.A.C.] Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C] Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] Remarks: I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. Inspector Signature: Representative: HERZOG, KAREN Not Available to Sign Date:1/31/2019 Date:1/31/2019 Page 2 1/31/2019 STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES MASSAGE ESTABLISHMENTS ROUTINE File # 29281 CHANGE LOC NEW CURRENTLY NOT OPERATING WWW.DOH.STATE.FL.US CHANGE OWNER INSPECTION AUTHORITY - CHAPTER 480.043, F.S. AND 64 B 7-26.004 & 26.005 F.A.C. Insp # 141620 NAME OF ESTABLISHMENT ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 10/18/2013 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA EXPIRATION DATE 08/31/2015 APPRENTICESHIP STREET ADDRESS 103 South US HWY 1 Ste. C2 JUPITER SQUARE SHOPIPNG TELEPHONE # 561-386-8212 CITY JUPITER COUNTY 60 PERSON EMPLOYED GUIZHEN GAO SCHENNE MA67677 LICENSE NUMBER EXT. YES NO OWNER'S NAME HUA ZHANG STATE/ZIP 33477 PERSON EMPLOYED LICENSE NUMBER HUA ZHANG MA67628 DANLING LIU MA73157 SATISFACTORY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Current establishment license. [480.043(1), F.S.] Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Employed person(s) duly licensed. [480.047(1)(c), F.S.] Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] 15 Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] 16 17 18 19 20 21 22 23 24 25 Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Proof of current property damage and bodily injury liability coverage maintained on premises. [64B7-26.003(4), F.A.C.] Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] * Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] * If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Establishment operating hours are within compliance. [480.0475(1) F.S.] Establishment not used as principle domicile unless zoned for residential use under a local ordinance. [480.0475(2) F.S.] 26 27 Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.]* Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.]* 28 29 30 Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.]* Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] * Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] * 31 32 33 34 35 36 Tables for massages. [64B7-29.001(5)(a), F.A.C.] * Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] * Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C]* Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] * Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] * * QUESTIONS WITH (*) MAY BE ANSWERED N/A (NOT APPLICABLE) N/A YES NO COLONIC IRRIGATION* APPRENTICE PROGRAM (INSPECTION IF APPROPRIATE)* ESTABLISHMENT EQUIPMENT REQUIRED IN ADDITION TO 64B7-26 FOR APPRENTICE PROGRAM* Remarks: (10) JUNE 2013 ; (20) CITY INS AGENCY, MAXUM INDEMNITY CO POL#BDG0074556-01 EXP 05/09/14; (23) MA67628 VERIFIED; DANLING LIU MA73157 NEW HIRE 10/14/13, HAS NOT PASSED PROBATION, APPROXIMATELY 2 OR 3 MORE WEEKS. UPON COMPETING WILL GET PB COUNTY TAX PERMIT. YANNY NG, CASHIER/RECEPTION, AND HUA ZHANG, OWNER, ASSISTED WITH INSPECTION. YANNY214@HOTMAIL.COM MANDY196060@YAHOO.COM I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. PRINT NAME OF RECIPIENT HUA ZHANG ID Signature of Owner or Representative INV 369 Revised 9/13, 8/12, 12/11 Date Investigator Signature wi86 Save STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES MASSAGE ESTABLISHMENTS ROUTINE File # 29281 CHANGE LOC NEW CURRENTLY NOT OPERATING WWW.DOH.STATE.FL.US CHANGE OWNER INSPECTION AUTHORITY - CHAPTER 480.043, F.S. AND 64 B 7-26.004 & 26.005 F.A.C. Insp # 152187 NAME OF ESTABLISHMENT ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 8/14/2014 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA EXPIRATION DATE 08/31/2015 APPRENTICESHIP STREET ADDRESS 103 South US HWY 1 Ste. C2 JUPITER SQUARE SHOPIPNG TELEPHONE # 561-386-8212 CITY JUPITER COUNTY 60 PERSON EMPLOYED LICENSE NUMBER EXT. YES NO OWNER'S NAME ORCHIDS OF ASIA DAY SPA STATE/ZIP 33477 PERSON EMPLOYED LICENSE NUMBER Lei Wang MA 74437 Dong Fang Wang MA 69910 Guizhen Gao Schenne MA 67677 NuA Zhang MA 67628 SATISFACTORY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 Current establishment license. [480.043(1), F.S.] Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Employed person(s) duly licensed. [480.047(1)(c), F.S.] Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] 15 Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] 16 17 18 19 20 21 22 23 24 25 Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Proof of current property damage and bodily injury liability coverage maintained on premises. [64B7-26.003(4), F.A.C.] Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] * Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] * If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Establishment operating hours are within compliance. [480.0475(1) F.S.] Under local ordinance (zoning), is this establishment being used as a principle domicile? [780.0475(2) F.S.] 26 27 Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.]* Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.]* 28 29 30 Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.]* Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] * Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] * 31 32 33 34 35 36 Tables for massages. [64B7-29.001(5)(a), F.A.C.] * Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] * Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C]* Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] * Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] * * QUESTIONS WITH (*) MAY BE ANSWERED N/A (NOT APPLICABLE) N/A YES NO COLONIC IRRIGATION* APPRENTICE PROGRAM (INSPECTION IF APPROPRIATE)* ESTABLISHMENT EQUIPMENT REQUIRED IN ADDITION TO 64B7-26 FOR APPRENTICE PROGRAM* Remarks: #20-Acord, #BDG0074556-01, 05/9/14-05/9/15 #25-Not used as a principle domicile. I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. PRINT NAME OF RECIPIENT Dong Fang Wang ID Signature of Owner or Representative INV 369 Revised 4/14, 9/13, 8/12, 12/11 Date Investigator Signature wi119 Save STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES INV369 - Massage Establishment File # 29281 Insp # 164132 NAME ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 04/26/2016 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA STREET ADDRESS 103 South US HWY 1 Ste. C2 TELEPHONE # 561-386-8212 CITY JUPITER COUNTY PALM BEACH EXT STATE/ZIP FL/33477 Additional Information Owner Contact Inspection Employee Tracking License Number Date Entered 78389 Person Employed Dongmei Wang 78327 Person Employed Lansu Cong Person Employed Cuixiang Zhan 4/26/2016 License Number Date Entered Lei Wang 4/26/2016 License Number Date Entered Person Employed 4/26/2016 License Number Date Entered 74437 81172 4/26/2016 License Relations Establishment Owner ZHANG, HUA License # INV 369 - Massage Establishments Massage Establishment Requirements Current establishment license. [480.043(1), F.S.] Yes Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Yes Employed person(s) duly licensed. [480.047(1)(c), F.S.] Yes Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), Yes F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Yes Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Yes Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Yes Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Yes Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Yes Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Yes Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Yes Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Yes Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Yes Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] Yes Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] Yes Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Yes Page 1 4/26/2016 INV369 - Massage Establishment Insp # 164132 ORCHIDS OF ASIA DAY SPA INC File # 29281 Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Yes Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Yes Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Yes Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] Yes Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] N/A If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Yes Establishment operating hours are within compliance. [480.0475(1) F.S.] Yes Under local ordinance (zoning), is this establishment being used as a principle domicile? [480.0475(2) F.S.] No Proof of current property damage and bodily injury liability coverage maintained on premises. [64B7-26.003(4), F.A.C.] **** Rockhill ins HC009367-00 05/09/16.***** Yes Colonic Irrigation Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.] Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.] Apprentice Program Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.] Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] Establishment Equipment Required in Addition to 64B7-26 For Apprentice Program Tables for massages. [64B7-29.001(5)(a), F.A.C.] Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C] Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] Remarks: I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. Investigator/Sr. Pharmacist Signature: Representative: DAVIS, PERRY lansu cong Date:4/26/2016 Date:4/26/2016 Page 2 4/26/2016 STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES INV369 - Massage Establishment File # 29281 Insp # 186969 NAME ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 01/04/2017 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA STREET ADDRESS 103 South US HWY 1 Ste. C2 TELEPHONE # 561-386-8212 CITY JUPITER COUNTY PALM BEACH EXT STATE/ZIP FL/33477 Additional Information Owner Contact Inspection Employee Tracking License Number Date Entered 78389 Person Employed Dongmei Wang 78327 Person Employed Lansu Cong Person Employed Cuixiang Zhan 4/26/2016 License Number Date Entered Lei Wang 4/26/2016 License Number Date Entered Person Employed 4/26/2016 License Number Date Entered 74437 81172 4/26/2016 License Relations Establishment Owner ZHANG, HUA License # INV 369 - Massage Establishments Massage Establishment Requirements Current establishment license. [480.043(1), F.S.] Yes Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] Yes Employed person(s) duly licensed. [480.047(1)(c), F.S.] Yes Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), Yes F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Yes Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Yes Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Yes Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Yes Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] Yes Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Yes Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Yes Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Yes Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Yes Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] Yes Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] Yes Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Yes Page 1 1/4/2017 INV369 - Massage Establishment Insp # 186969 ORCHIDS OF ASIA DAY SPA INC File # 29281 Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Yes Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Yes Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Yes Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] Yes Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] N/A If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] Yes Establishment operating hours are within compliance. [480.0475(1) F.S.] Yes Under local ordinance (zoning), is this establishment being used as a principle domicile? [480.0475(2) F.S.] No Colonic Irrigation Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.] Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.] Apprentice Program Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.] Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] Establishment Equipment Required in Addition to 64B7-26 For Apprentice Program Tables for massages. [64B7-29.001(5)(a), F.A.C.] Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C] Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] Remarks: I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. Investigator/Sr. Pharmacist Signature: Representative: DAVIS, PERRY xiaoli j blanford Date:1/4/2017 Date:1/4/2017 Page 2 1/4/2017 STATE OF FLORIDA DEPARTMENT OF HEALTH INVESTIGATIVE SERVICES INV369 - Massage Establishment File # 29281 Insp # 195081 NAME ORCHIDS OF ASIA DAY SPA INC PERMIT NUMBER 29413 DATE OF INSPECTION 08/16/2017 DOING BUSINESS AS ORCHIDS OF ASIA DAY SPA STREET ADDRESS 103 South US HWY 1 Ste. C2 TELEPHONE # 561-386-8212 CITY JUPITER COUNTY PALM BEACH EXT STATE/ZIP FL/33477 Additional Information Owner Contact Inspection Employee Tracking License Number Date Entered 78389 Person Employed Dongmei Wang 78327 Person Employed Lansu Cong Person Employed Cuixiang Zhan 4/26/2016 License Number Date Entered Lei Wang 4/26/2016 License Number Date Entered Person Employed 4/26/2016 License Number Date Entered 74437 81172 4/26/2016 License Relations Establishment Owner ZHANG, HUA License # INV 369 - Massage Establishments Massage Establishment Requirements Current establishment license. [480.043(1), F.S.] Yes Establishment license conspicuously displayed. [64B7-28.008(3), F.A.C.] N/A Employed person(s) duly licensed. [480.047(1)(c), F.S.] Yes Each Massage Therapist's license conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(1)(a), Yes F.A.C.] If advertisement is visible at this establishment, must meet requirements of 480.0465, F.S. Yes Establishment complies with local building code requirements. [64B7-26.003(1)(a), F.A.C.] Yes Public premise areas provided with safe and unobstructed human passages. [64B7-26.003(3)(a), F.A.C.] Yes Garbage and refuse removal provided. [64B7-26.003(3)(a), F.A.C.] Yes Safe storage/removal of flammable materials provided. [64B7-26.003(3)(a), F.A.C.] N/A Premise fire extinguisher maintained in good working condition. (Sprinkler system not acceptable substitute.) [64B7-26.003(3)(b),F.A.C] Yes Exterminate all vermin, insects, termites and rodents on premises. [64B7-26.003(3)(c), F.A.C.] Yes Safe/sanitary massage equipment maintained. [64B7-26.003(3)(d), F.A.C.] Yes Regular use of cleaners and bacterial agents or clean table covering utilized for each client. [64B7-26.003(3)(d), F.A.C.] Yes Maintain a sufficient supply of clean drapes for the purpose of draping each client while the client is being massaged, and launder before reuse all materials furnished for the personal use of the client, such as drapes, towels, and linens. As used herein "drapes" means towels, gowns, or sheets. [64B7-26.003(3)(e), F.A.C.] Yes Provide for the use of clients a bathroom with at least one toilet and one sink with running water. Such facilities shall be equipped with toilet tissue, soap dispenser with soap or other hand-cleaning materials, sanitary towels or other hand-drying device such as a wall-mounted electric blow dryer, and waste receptacle. [64B7-26.003(1)(b), F.A.C.] Yes Toilet facility fixtures/components clean, in good repair. [64B7-26.003(3)(g), F.A.C.] Yes Page 1 8/16/2017 INV369 - Massage Establishment Insp # 195081 ORCHIDS OF ASIA DAY SPA INC File # 29281 Maintain all bathroom and shower facilities and fixtures in good repair, well-lighted and ventilated. [64B7-26.003(3)(g), F.A.C.] Yes Toilet facility on premises or in same building within 300 feet of establishment. [64B7-26.003(1)(c), F.A.C.] Yes Lavatory in treatment room or within 20 feet for cleansing hands or chemical germicidal designed for use without lavatory. [64B7-26.003(3)(f), F.A.C.] Yes Clean/adequate shower facilities if whirlpool bath/sauna/steam cabinet and/or steam room on premise. [64B7-26.003(1)(d), F.A.C.] Yes Massage therapist not supervising more than one apprentice. [64B7-29.001(3), F.A.C.] No If requested, valid government identification was immediately presented upon request. [480.0535(1),(2) F.S.] N/A Establishment operating hours are within compliance. [480.0475(1) F.S.] Yes Under local ordinance (zoning), is this establishment being used as a principle domicile? [480.0475(2) F.S.] No Colonic Irrigation Licensed massage therapist or apprentice licensee properly certified to perform colonic irrigation. [64B7-31.001(2), F.A.C.] Colonic irrigation equipment maintained in sanitary and safe working condition. [64B7-26.003(3)(d), F.A.C.] Apprentice Program Apprentice certificate conspicuously displayed and a 2 inch by 2 inch photo is attached by effective date required by rule. [64B7-28.008(2), F.A.C.] Apprentice under supervision of licensed sponsoring massage therapist. [64B7-29.003(1), F.A.C.] Record of apprentice hours maintained and available for inspection. [64B7-29.003(4), F.A.C.] Establishment Equipment Required in Addition to 64B7-26 For Apprentice Program Tables for massages. [64B7-29.001(5)(a), F.A.C.] Linen and storage area. [64B7-29.001(5)(b), F.A.C.] Colonic equipment if colonic irrigation taught. [64B7-29.001(5) (c), F.A.C.] Sterilization equipment if non-disposable colonic attachments are utilized. [64B7-29.001(5)(d),F.A.C] Hydrotherapy equipment including hot/cold packs. [64B7-29.001(5)(e),F.A.C] Appropriate textbooks and teaching materials. [64B7-29.001(5)(f)(1-6),F.A.C] Remarks: I have read and have had this inspection report and the laws and regulations concerned herein explained, and do affirm that the information given herein is true and correct to the best of my knowledge. I have received a copy of the Licensee Bill of Rights. Inspector Signature: Representative: GILROY, GERARD xiaolij blanfod Date:8/16/2017 Date:8/16/2017 Page 2 8/16/2017